A school nurse is assessing a child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Polyuria
Fruity breath
Diaphoresis
Polyphagia
The Correct Answer is C
A. Polyuria: Polyuria results from hyperglycemia, where excess glucose in the bloodstream leads to osmotic diuresis. This causes the kidneys to excrete more water, increasing urination frequency. It is not a feature of hypoglycemia.
B. Fruity breath: Fruity-scented breath is due to ketone buildup in diabetic ketoacidosis, a complication of prolonged hyperglycemia. It signals metabolic acidosis rather than low blood sugar levels.
C. Diaphoresis: Diaphoresis occurs during hypoglycemia as the body releases epinephrine in response to falling glucose. This triggers sweating, tremors, and palpitations as part of the autonomic response.
D. Polyphagia: Polyphagia is a symptom of hyperglycemia, where cells are starved of glucose despite its presence in the blood. This leads to increased hunger, not typically seen in acute hypoglycemia.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A,B,D,C
Explanation
A. The first priority is to rescue any individuals in immediate danger. Moving the client ensures their safety before addressing the fire. Delaying this step could expose the client to smoke inhalation or burns.
B. Once the client is safe, the nurse must activate the fire alarm system. This alerts the rest of the facility and triggers the emergency response protocol. Early alarm activation helps prevent the fire from spreading further.
C. Attempting to extinguish the fire comes only after other safety measures. If the fire is small and controllable, using a fire extinguisher may prevent escalation. However, it must only be attempted when it is safe to do so.
D. Closing nearby windows and doors helps contain the fire to one area. This reduces oxygen flow and slows the spread of fire and smoke throughout the unit. Containment is a key step in minimizing damage and injury.
Correct Answer is A,C,B,D
Explanation
A. Rolls from back to side typically occurs around 4 months of age, as the infant gains initial control of trunk and limbs. This is one of the earliest gross motor milestones.
B. Sits steadily unsupported generally develops by about 8 months, showing further improvement in core strength and postural control.
C. Rolls from back to abdomen follows around 5–6 months, demonstrating increased muscle coordination and control over the trunk and neck.
D. Changes from prone to sitting usually occurs between 9 to 10 months and indicates advanced coordination, enabling independent movement and transition between positions.
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